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General NPI Number Information
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NPI Number | 1407068711
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Entity Type | Individual
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Provider Name | NOAH BENJAMIN CLYMAN LCSW, ACT
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PENTHOUSE
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 973-768-7552
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Fax | 347-730-5535
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Provider Business Mailing Address
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Address Line | 3414 81ST ST APT. 2
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-2817
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Country | US
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Telephone | 973-768-7552
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Fax | 347-730-5535
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 078302-1
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License Number State | NY
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